2026 NPPES data Family Nurse Practitioner NPI 1730473836 APRN
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ZACKARY BALLINGHAM, APRN

Family Nurse Practitioner in CARSON CITY, Nevada. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
2K
Medicare Part D claims · 42 beneficiaries · Family Nurse Practitioner avg: 1K
Generic prescribing
75%
generic claims · 25% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
16.5/100
▼ 67 pts below national avg 83.1 · [object Object]
What the federal data reveals: ZACKARY BALLINGHAM, APRN is a Family Nurse Practitioner ([object Object]) practicing in CARSON CITY, Nevada with a Medicare Part D prescribing footprint of 2K claims across 42 beneficiaries — 25% brand-name prescribing . Their CMS MIPS Final Score of 16.5/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: ZACKARY BALLINGHAM, APRN reported a CMS MIPS final score of 16.5 out of 100, below the 83.1 national average, and filed 1,681 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

ZACKARY BALLINGHAM, APRN at a glance

Below national average

NPI registry status

Active

Issued 06/06/2011

NPI 1730473836

Primary specialty

Family Nurse Practitioner

High-volume

209,817 US NPIs in this specialty

Medicare Part D claims

1,681 38% vs specialty avg

2023 prescription claims

Specialty avg: 1,222

MIPS final score

16.5/100 66.6% pts

Penalty band band

vs 83.1 national avg

Specialty distribution in Nevada

How Family Nurse Practitioner compares to other specialties among Nevada providers

Nevada providers

Family Nurse Practitioner share within Nevada

1. Family Nurse Practitioner42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Family Nurse Practitioner share within Nevada

Medicare quality performance — MIPS

ZACKARY BALLINGHAM, APRN's 2023 MIPS final score plotted against the Family Nurse Practitioner national average

Below national average
MIPS Final Score
16.5/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Family Nurse Practitioner) — 16.5/100 vs national avg 83.1

0%100%National avg83%16.5%
MIPS final score (Family Nurse Practitioner) — 16.5/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

ZACKARY BALLINGHAM, APRN is a Family Nurse Practitioner provider practicing in CARSON CITY, Nevada, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: APRN. NPI: 1730473836. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

ZACKARY BALLINGHAM, APRN appears in the CMS NPPES registry as a Family Nurse Practitioner provider holding APRN credentials at 1600 MEDICAL PKWY, CARSON CITY, NV, 89703, with a listed phone of (775) 445-8795. NPI 1730473836 was issued on 06/06/2011. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BALLINGHAM most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 1,681 prescription claims written by this provider, covering 42 Medicare beneficiaries and totaling roughly $97K in drug spend, split 25% brand-name and 75% generic by claim count, with an opioid prescribing rate of 4.1%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 16.5/100 for the 2023 performance year (Quality 0, Cost 55), compared with the national average of 83.1.

Family Nurse Practitioner is a high-volume specialty nationwide, with 209,817 enrolled providers across 56 states and an average of 1,222 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

1600 MEDICAL PKWY
CARSON CITY, NV 89703

Provider Details

NPI 1730473836
Specialty Family Nurse Practitioner
Credentials APRN
Gender Male
NPI Issued 06/06/2011

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

16.5
Final Score
Avg: 83.1
0
Quality
55
Cost
0
Promoting Interoperability

Reporting: Individual

Hospital and facility affiliations

Facilities where ZACKARY BALLINGHAM, APRN bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

SANTIBANEZ PAC NEVADA
CARSON CITY, NV
USACS INTEGRATED ACUTE CARE SERVICES OF NEVADA BAGNOLI P C
CARSON CITY, NV

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Brand vs generic prescribing mix · Above average

ZACKARY BALLINGHAM, APRN — brand share 25.0%
Specialty average (est.)

25% brand-name claims vs 75% generic, on 1,681 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

1,681
Total Claims
$97K
Total Drug Cost
42
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,685
Total Day Supply
33,108
Brand vs Generic
25% brand / 75% generic
Brand Drug Cost
$58K
Generic Drug Cost
$38K
Opioid Claims
69 (4.1% rate)
Antibiotic Claims
68

Patient Demographics

Average Patient Age
81.9 years
Avg HCC Risk Score
1.98

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Furosemide
116
Levothyroxine Sodium
90
Potassium Chloride
84
Ondansetron Hcl
72
Baclofen
51
Losartan Potassium
49
Xarelto
Rivaroxaban
47
Diclofenac Sodium
44
Atorvastatin Calcium
43
Eliquis
Apixaban
43

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Family Nurse Practitioner Overview

How ZACKARY BALLINGHAM, APRN fits within the Family Nurse Practitioner landscape nationally.

209,817
Family Nurse Practitioner Providers in US
56
States with Family Nurse Practitioner
1,222
Avg Claims per Provider

ZACKARY BALLINGHAM, APRN's 1,681 claims are above the specialty average of 1,222.

Nearby Family Nurse Practitioner Providers in Nevada

Other clinicians with the same primary specialty enrolled in Nevada, drawn from the same CMS NPPES roster as BALLINGHAM.

Compare Family Nurse Practitioner nationally: see state-by-state distribution →

Frequently Asked Questions

What is ZACKARY BALLINGHAM, APRN's specialty?
ZACKARY BALLINGHAM, APRN specializes in Family Nurse Practitioner and practices in CARSON CITY, Nevada. Credentials: APRN.
How much does ZACKARY BALLINGHAM, APRN prescribe under Medicare Part D?
In 2023, ZACKARY BALLINGHAM, APRN wrote 1,681 Medicare Part D claims totaling $97K in drug costs for 42 beneficiaries.
What is ZACKARY BALLINGHAM, APRN's Medicare quality score?
ZACKARY BALLINGHAM, APRN has a CMS MIPS Final Score of 16.5/100 (Quality: 0, Cost: 55). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ZACKARY BALLINGHAM, APRN located?
ZACKARY BALLINGHAM, APRN is located at 1600 MEDICAL PKWY, CARSON CITY, NV, 89703. Phone: (775) 445-8795.
What is ZACKARY BALLINGHAM, APRN's NPI number?
ZACKARY BALLINGHAM, APRN's National Provider Identifier (NPI) is 1730473836, issued on 06/06/2011.
Does ZACKARY BALLINGHAM, APRN prescribe more brand-name or generic drugs?
ZACKARY BALLINGHAM, APRN's prescribing is 25% brand-name and 75% generic drugs by claim count, with $58K in brand drug costs.
Does ZACKARY BALLINGHAM, APRN prescribe opioids?
Yes, ZACKARY BALLINGHAM, APRN had 69 opioid claims in 2023 with an opioid prescribing rate of 4.1%.
How many Family Nurse Practitioner providers are there in the US?
There are 209,817 Family Nurse Practitioner providers across 56 states in the US. The average Family Nurse Practitioner provider writes 1,222 Medicare Part D claims per year.
What drugs does ZACKARY BALLINGHAM, APRN prescribe most often?
Based on 2023 Medicare Part D data, ZACKARY BALLINGHAM, APRN's most frequently prescribed drugs include Furosemide, Levothyroxine Sodium, Potassium Chloride. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ZACKARY BALLINGHAM, APRN accept Medicare?
ZACKARY BALLINGHAM, APRN appears in CMS Medicare data with 1,681 Part D claims and 42 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ZACKARY BALLINGHAM, APRN's credentials?
ZACKARY BALLINGHAM, APRN's NPI is 1730473836 with credentials APRN. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology